Registration

Please provide your information below and click submit when complete.
Student costume and/or student fees will be applied after registration is submitted (if applicable, see brochure for more details).
Annual registration fee is $15 per family (Registration fee is waived for members).

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

Health Insurance Carrier*

Rose Member - Type: Yes or No

Contact #1

Contact #1 First Name*

Last Name *

Relationship*

How Can We Contact You?

Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email*(Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Relationship

How can we contact you?

Home Phone

Work #

Cell #

Email(Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*
(format=mm/dd/yyyy)

Additional Info

Student Email

School*

Grade Level*

Permission to Pick Up (Name & Relationship)*

Disabilites*

Special Needs

Allergies*

Medications*

Primary Doctor*

Class placement is required for certain classes. Please see class brochure for class prerequisites. The Rose Theater reserves the right to drop any student who do not meet class requirements.

Required Policies and Agreements

Payment Information

Class space is limited and registration is handled on a first-come basis. Students will be enrolled in their desired class unless otherwise noted. Tuition must be paid in full at the time of registration. A credit card is required for all online registrations. A non-refundable annual family registration fee of $15 per family per school year, will be added to your account upon registration (waived for Rose Theater members). Cancellation fees vary on class type and drop date. No refunds will be given after the start date. After the start date, refunds will be made only for prolonged illnesses or severe injury as verified by a doctor's certificate.Drama at The Rose classes require a one-time fee to be paid in full at the time of registration. Broadway at The Rose classes are paid on a monthly basis and require a one-time non-refundable concert fee of $100 due at the time of registration. Monthly payments will be processed on the first of each month using the credit card on-file. A one-time tuition fee is due at the time of all summer class and camps. Payment plans are available upon request.

I've read the above and agree.

Release of Liability

I agree to hold The Rose Theater which includes Omaha Theater Company, Broadway at The Rose, and Drama at The Rose, its officers, directors, and employees harmless in the event my child suffers injury or damage, including property damage, as a result of his/her participation in The Rose's classes and/or camps. Although every effort is made to provide a safe environment, I recognize there is always a risk of accident. By submitting a registration, I agree to be responsible for any medical bills incurred resulting from illness or injury during my student's participation at The Rose Theater. I authorize The Rose Theater to administer first aid and/or authorize medical treatment for my child.

I've read the above and agree.

Promotional Clause

I authorize Omaha Theater Company (OTC), which includes The Rose Theater, DRAMA at The Rose and BROADWAY at The Rose, and its staff to use my child's likeness in promotional materials. Please note that children are never identified when used. Furthermore, I authorize OTC and all of its employees, agents, and representatives to provide my dependent with dance and theater instruction.

I've read the above and agree.

Release of Premises

I agree to hold The Rose Theater which includes Omaha Theater Company, Broadway at The Rose, and Drama at The Rose, its officers, directors, and employees harmless for the well-being and safety of children who are around any of our facilities during unauthorized hours.

I've read the above and agree.

Transportation Clause

Some camps require students to walk to neighborhood locations. Such camps are noted in the brochure. If I register my child for a combine location camp, I give permission for my child to accompany his/her class on all walking field trips planned and supervised by The Rose Theater staff for the above camp/class with the understanding that the organization will arrange for a safe walk route and supervision to and from The Rose Theater. Furthermore, I agree to hold The Rose Theater which includes Omaha Theater Company, Broadway at The Rose, Drama at The Rose and affiliated parties harmless of any injury or damage, including property damage as a result of my child's walking transportation of locations.

I've read the above and agree.

Code of Conduct

In order to provide students with a safe and supportive environment, The Rose Theater does not tolerate any form of physical or verbal abuse, vandalism, or the use of any and all illegal substances. Any behavior found in violation of this policy will be addressed and the student may be asked to leave classes and no refund will be issued.